| NPI | 1114489457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP020301) |
| Additional Taxonomies | 202D00000X Integrative Medicine (Licence: PA SP020301) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-11-14 |