| NPI | 1821973314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD R212844) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R212844) |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-10-01 |