| NPI | 1801191770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R154451) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0000539) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2021-02-02 |