| NPI | 1194394098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R200988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022024349) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2023-12-05 |