| NPI | 1528564903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r200504) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1028090) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP1028090) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2023-01-05 |