| NPI | 1073760377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004055) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F0608440) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2020-10-28 |