| NPI | 1528615184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11007226) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DE LP-0000320) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2020-08-13 |