| NPI | 1700272853 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R120346)  | 
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD CRNP120346)  | 
| Enumeration Date | 2015-04-15 | 
| Last Update Date | 2018-06-14 |