| NPI | 1275902785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R1577851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R157851) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2024-03-13 |