| NPI | 1992273577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MA RN2373045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN267867) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-02-27 |