| NPI | 1598228793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD RN139286) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: DC RN66700) |
| Enumeration Date | 2019-04-13 |
| Last Update Date | 2019-07-19 |