| NPI | 1952653545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R178317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170371) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2015-04-21 |