| NPI | 1114167897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 184442) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 184442) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2023-03-13 |