| NPI | 1578872909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 125561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R183499) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2025-07-09 |