| NPI | 1043662851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-001638) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 901553) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-02-20 |