| NPI | 1669847513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R246312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA 253507) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2023-11-28 |