| NPI | 1073916037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R197237) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1025199) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2022-06-13 |