| NPI | 1245701333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R204038) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD R204038) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD 204038) | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2023-01-04 |