| NPI | 1720264658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R230819) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA sp008312) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2019-07-08 |