| NPI | 1205226305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R234425) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R234425) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2019-03-18 |