| NPI | 1649876749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD F11200588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R160571) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2023-12-20 |