| NPI | 1275806788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018786) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9276814) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-04-18 |