| NPI | 1801311378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R194313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9466719) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9466719) | |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2022-01-05 |