| NPI | 1811573843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R192482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: DC RN1020859) |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2021-05-13 |