| NPI | 1013576560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R162472) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP5000022902) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2026-09-10 |