| NPI | 1366077133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R255289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021282) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2022-09-27 |