| NPI | 1144009333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NM 75171) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 75171) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-26 |