| NPI | 1013383074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R195039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R195039) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC RN1038881) | |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2026-01-15 |