| NPI | 1730209925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC 1009180) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 293043) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003595) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R177322) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2024-02-07 |