| NPI | 1831339837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R160803) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R160803) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2023-03-19 |