| NPI | 1538546429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R104377) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN65890) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |