| NPI | 1295285047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD 2016015572) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R197133) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2024-10-01 |