| NPI | 1093286700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY 867964) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R203510) |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024191271) | |
| Enumeration Date | 2018-12-07 |
| Last Update Date | 2025-08-22 |