| NPI | 1205375524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R089539) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R089539) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-28 |