| NPI | 1225719495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R228393) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R228393) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-12-15 |