| NPI | 1740823434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MD R215670) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R215670) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2026-02-25 |