| NPI | 1003573536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R256902) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD 335310) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2025-07-23 |