| NPI | 1215434584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R208116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R208116) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: MD R208116) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2024-05-22 |