| NPI | 1528551223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217153) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MD R217253) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-10-05 |