| NPI | 1194050427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R166533) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN965723) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2022-09-21 |