| NPI | 1215523923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R242571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179813) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2022-12-06 |