| NPI | 1336577139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014998) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R191917) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R191917) | |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2025-03-13 |