| NPI | 1356950992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R236849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R236849) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-04-07 |