| NPI | 1922532928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R188055) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R188055) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-08-23 |