| NPI | 1174033500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R195807) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R195807) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-01-03 |