| NPI | 1184286775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012377) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 290519) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2024-08-02 |