| NPI | 1760068191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R225624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R225624) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-12-15 |