| NPI | 1255992145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R184051) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R184051) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-09-25 |