| NPI | 1356699938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R122356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R12356) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-07-25 |