| NPI | 1881280477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R267513) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024179567) |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2026-02-24 |