| NPI | 1508549304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R238795) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F07231205) |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-01-02 |