| NPI | 1457081838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R216242) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MD R216242) |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-09-04 |