| NPI | 1720386030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R100423) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185726) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2023-09-20 |