| NPI | 1356963300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC003883) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WV 106828) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2024-07-16 |