| NPI | 1245641984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 54575) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00485600) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP 60630468) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2024-01-05 |