| NPI | 1225366081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WY 18806.1032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 18806.1032) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2022-05-05 |