| NPI | 1629435177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD ML3771690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD N85428) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2019-05-31 |