| NPI | 1003241308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R237951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LP-0010630) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-09-13 |