| NPI | 1609464239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R259567) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL APRN11022945) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2024-06-24 |