| NPI | 1851959712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R236878) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-10-25 |