| NPI | 1326546912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R207092) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R207902) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2025-06-18 |