| NPI | 1265769491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R192854) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75025) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R192894) | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2022-08-04 |