| NPI | 1245623842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R196725) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R196725) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2024-03-19 |