| NPI | 1548816309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R195780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0012085) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2022-09-30 |