| NPI | 1083903637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC F05180313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 193879-9) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 5938) | |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 21990) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2019-07-03 |