| NPI | 1265017651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R258589) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 28551) |
| 183500000X Pharmacist (Licence: MA PH24911) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2024-06-29 |