| NPI | 1194751883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R204575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 24165433) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2022-10-03 |