| NPI | 1851055065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R131125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 131125) |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2023-03-13 |