| NPI | 1053627919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp010875) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV Aprn000836) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV apn000836) | |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2021-03-29 |