| NPI | 1558020172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD Pending) |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-05-02 |