| NPI | 1457611279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC004387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 211708) |
| Enumeration Date | 2012-05-26 |
| Last Update Date | 2024-08-15 |