| NPI | 1861910143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R228163) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R228163) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2024-05-31 |