| NPI | 1093901274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R213017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN280341) |
| 363LF0000X Nurse Practitioner, Family (Licence: WV 79411) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169074) | |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2023-05-31 |