| NPI | 1821441924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R195869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R195869) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2017-03-07 |