| NPI | 1144796236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD F10181059) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MD F10181059) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2019-11-23 |