| NPI | 1538553532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183727) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: DC RN1016929) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2022-04-18 |