| NPI | 1356814990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R169423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R169423) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R169423) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2023-09-22 |