| NPI | 1215071865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002414) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 23854) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-02-15 |