| NPI | 1063990448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R220621) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD F07182293) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-03-09 |