| NPI | 1831686633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TX 1059740) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28217110A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 71007958A) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MO 2021029675) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-10-19 |