| NPI | 1164023701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R199986) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R199986) |
| 163WP2201X Registered Nurse, Ambulatory Care (Licence: DC RN1038304) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |