| NPI | 1699314393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R202138) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R202138) |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2021-12-19 |