| NPI | 1497799365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R216543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334164) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP200003452) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2025-03-04 |