| NPI | 1700076312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ID NP-1394A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R090943) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2016-11-10 |