| NPI | 1982025375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R216750) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP013563) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2021-06-29 |