| NPI | 1831748664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R209844) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: DC RN1033165) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: MD R209844) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2022-09-12 |