| NPI | 1720725534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R218773) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024184269) |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2025-07-28 |