| NPI | 1881551901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R111640) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP034423) |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |