| NPI | 1700566478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R212338) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R212338) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-08-04 |