| NPI | 1992045363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R173550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD AC003077) |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2021-10-22 |