| NPI | 1396195384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 158037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R131563) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-10-06 |