| NPI | 1134864069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R245144) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0011902) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-10-03 |