| NPI | 1457583759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R167525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000633) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2022-07-13 |