| NPI | 1225879083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R210757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R210757) |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-07-31 |