| NPI | 1255889127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28161) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5008939) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008939) | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2024-02-08 |