| NPI | 1134656606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 20958) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 20958) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2022-05-26 |