| NPI | 1356679310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R185953) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R185953) |
| Enumeration Date | 2009-12-02 |
| Last Update Date | 2018-03-17 |