| NPI | 1396963609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R157914) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LP-0010565) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-02-15 |