| NPI | 1043580418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217089) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R217089) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2022-09-19 |