| NPI | 1205191228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R230948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R230948) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2026-05-12 |