| NPI | 1154804888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R110960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F09180178) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2023-12-27 |