| NPI | 1013457050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R201878) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R201878) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2021-09-21 |