| NPI | 1336531854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R201069) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R201069) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-10-07 |