| NPI | 1033380258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2348895) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP 4101) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2022-06-27 |