| NPI | 1982111746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R187140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180520) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP134337) | |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2024-07-12 |