| NPI | 1730752486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R222826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC 1043754) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-10-18 |