| NPI | 1013405091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R149850) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 23617) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-08-08 |