| NPI | 1760930796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R189328) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-09-04 |