| NPI | 1467925669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R223215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1041996) |
| 163W00000X Registered Nurse (Licence: MD RR223215) | |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-10-01 |