| NPI | 1801564646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R232666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD 2021035861) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2025-03-18 |