| NPI | 1578991766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R173333) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MD R173333) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2020-07-31 |