| NPI | 1609195338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD AC005025) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024168631) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2023-06-19 |