| NPI | 1225469521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R200657) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201394394NP-PP) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-05-14 |