| NPI | 1861036790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R265303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 26788) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003836) | |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2024-08-16 |