| NPI | 1952056715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R211356) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MD R211356) |
| 171M00000X Case Manager/Care Coordinator (Licence: MD R211356) | |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2025-04-08 |