| NPI | 1083095012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R192857) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R192857) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-03-14 |