| NPI | 1669524898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R179194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F1106110) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-02-16 |