| NPI | 1356878540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R218514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD F05170310) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2021-06-28 |