| NPI | 1619554938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R213592) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R213592) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-10-12 |