| NPI | 1053193078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R217372) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F10230639) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2026-08-19 |