| NPI | 1013384684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 000168) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9281470) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2021-12-08 |