| NPI | 1780865949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R201379) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DC OT010000470) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2025-03-12 |