| NPI | 1891502142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC007190) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC NP200002080) |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |