| NPI | 1740500750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R169575) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2025-04-17 |