| NPI | 1457767188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC001878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DE L1-0033097) |
| 363LF0000X Nurse Practitioner, Family (Licence: DE L1-0033097) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2024-08-30 |