| NPI | 1760767735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R166525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC 1025280) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2021-02-11 |