| NPI | 1861885469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R264273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 226823) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2024-01-05 |