| NPI | 1881282804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R215448) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MD R215448) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD N110361) | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-03-07 |