| NPI | 1912283235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R209019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169571) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2023-03-13 |