| NPI | 1376062406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R207751) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175159) |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2021-01-11 |