| NPI | 1275919540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R236410) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP015170) |
| 363LF0000X Nurse Practitioner Family (Licence: DE LG-0011802) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-04-30 |