| NPI | 1295272185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R199383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001017) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-04-27 |