| NPI | 1679022420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178077) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R212352) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2022-05-23 |