| NPI | 1154963536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003845) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011844) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R206759) | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2022-03-03 |