| NPI | 1366847923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R19676) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 191676) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2020-09-14 |