| NPI | 1275134207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016306) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009847) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2022-06-20 |