| NPI | 1295388783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R210853) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R210853) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-09-25 |