| NPI | 1295194462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R150452) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R150452) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2023-11-29 |