| NPI | 1851793616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD r205420) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: MD r205420) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R205420) | |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2024-10-30 |