| NPI | 1215318464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015020547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2008018494) |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2024-06-10 |