| NPI | 1437558483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R182395) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MD R182395) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2020-04-10 |