| NPI | 1417382466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R219551) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R219551) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5006405) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-11-24 |