| NPI | 1639379092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R266755) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024167446) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-10-30 |