| NPI | 1952986127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R178034) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R178034) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-06-25 |