| NPI | 1952858771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R223869) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024173945) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-11-09 |