| NPI | 1194281451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R207985) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MD r207985) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2022-03-24 |