| NPI | 1790043198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R212930) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 2022066987) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2023-05-10 |