| NPI | 1568953248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R194510) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F02181041) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-03-28 |