| NPI | 1033686076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 59965) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 59965) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-08-12 |