| NPI | 1336545466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R106652) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA F0914840) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2024-01-25 |