| NPI | 1366900235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD R191143) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R191143) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2024-01-23 |