| NPI | 1144628538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R102845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9234158) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016989) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2025-02-24 |