| NPI | 1093498305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD r217034) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5022240) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2026-03-24 |