| NPI | 1144325275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R078653) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 279604) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-02-05 |