| NPI | 1841613767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R177403) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016044348) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-01-23 |