| NPI | 1659732733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R196252) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD 20160580) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-04-24 |