| NPI | 1902351430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R178898) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R178898) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2023-04-21 |