| NPI | 1053937060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R222016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 108391) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP023540) | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2026-03-23 |