| NPI | 1619281870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R129053) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: DE LB-0000234) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2011-03-15 |