| NPI | 1598375560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R222975) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD R222975) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-03-24 |