| NPI | 1831568286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R127447) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R127447) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R127447) | |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2023-02-24 |