| NPI | 1891244968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R191358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024173992) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-12-06 |