| NPI | 1184318271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD 2023129147) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 900979356) |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2024-11-21 |