| NPI | 1588998207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R198429) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0011482) |
| 363L00000X Nurse Practitioner (Licence: MD R198429) | |
| 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011482) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2021-08-03 |