| NPI | 1124466099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R262168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R857333) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2023-09-30 |