| NPI | 1811395536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R224968) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R224968) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-08-02 |