| NPI | 1255008876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R197124) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: MD R197124) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-02-11 |