| NPI | 1982759411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R129094) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD N41334) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-10-24 |