| NPI | 1295107506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015039026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2006032006) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2023-09-20 |