| NPI | 1932282134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R017766) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD RO77166) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-03-24 |