| NPI | 1063976793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R202023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R202023) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-02-06 |