| NPI | 1184319774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP500011530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD F04230065) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-07-06 |