| NPI | 1679684450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R162506) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333766-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-12-30 |