| NPI | 1932267903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000347) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2024-05-31 |