| NPI | 1750685426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R242182) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024168509) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2020-11-25 |