| NPI | 1417351735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R224551) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R224551) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC001406) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-08-23 |