| NPI | 1659841062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R132021) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R132021) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2022-01-26 |