| NPI | 1407414410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1020371) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R238180) | |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2024-10-21 |