| NPI | 1578218400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R224466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R224466) |
| 363L00000X Nurse Practitioner (Licence: MD R224466) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-07-18 |