| NPI | 1669142394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R211732) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R211732) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R211732) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MD R211732) | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |