| NPI | 1093225070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-163717) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2018-08-31 |