| NPI | 1437685823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R190445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC 1011913) |
| 163W00000X Registered Nurse (Licence: MD R190445) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011913) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2022-07-21 |