| NPI | 1821186735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R123383) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000336) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024171560) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP013903) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-09-05 |