| NPI | 1558944132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY f34759001) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC RN1062040) |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-12-28 |