| NPI | 1336334762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R192408) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R192408) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MI 4704234611) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2024-10-04 |