| NPI | 1922728443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R188297) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD RI88297) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2023-10-30 |