| NPI | 1518602408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD ac004484) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 117380) |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2024-05-30 |