| NPI | 1497183818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R207755) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013898) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2025-02-19 |