| NPI | 1386692960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R131937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R131937) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2024-07-10 |