| NPI | 1801513239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R246608) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MD R246608) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185886) | |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2022-12-26 |