| NPI | 1245795517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R226432) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024183440) |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2022-08-15 |