| NPI | 1346850666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R184011) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP031900) |
| Enumeration Date | 2020-08-01 |
| Last Update Date | 2025-02-06 |