| NPI | 1255301776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MD R150910) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD R150910) |
| 363LC1500X Nurse Practitioner, Community Health (Licence: MD R150910) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-02-26 |