| NPI | 1154697829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A03553ANP) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2025-03-17 |