| NPI | 1164641908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC APN3204RX) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 201524) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2024-07-24 |