| NPI | 1447551072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R161926) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD RN161926) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2022-08-24 |