| NPI | 1881827640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MD R154848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R154848) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2023-08-08 |