| NPI | 1932557139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R191739) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R191739) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1043164) | |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-11-14 |