| NPI | 1215635966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R233607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R223607) |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2024-01-15 |