| NPI | 1740725498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024174379) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61216204) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2022-02-08 |