| NPI | 1275950644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC002677) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 216572) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2019-12-27 |