| NPI | 1639302771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R095284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R095284) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-02-16 |