| NPI | 1285722629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R164221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024166316) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-01-27 |