| NPI | 1134836828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F350847) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC004748) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-03-04 |