| NPI | 1225327323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO F0311009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019029220) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2022-01-27 |