| NPI | 1578137337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R208084) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181304) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-07-17 |