| NPI | 1023684867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD F05210435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R181191) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-03-25 |