| NPI | 1497262703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 1497262703) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-09-28 |