| NPI | 1184267791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R243062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95013121) |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2020-07-13 |