| NPI | 1316341886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R193335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172096) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2020-01-22 |