| NPI | 1700413515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R216804) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021607) |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-06-18 |