| NPI | 1417351735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R224551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD AC001406) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2018-03-17 |