| NPI | 1275363657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R238856) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: MD R238856) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |