| NPI | 1437882511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R153914) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP028790) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-08-20 |