| NPI | 1891472759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R185612) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: MD R185612) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-31 |