| NPI | 1528782919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R248374) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R242374) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R242374) | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2025-01-08 |