| NPI | 1295962553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA PA-VP006456B) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA VP006456B) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-03-24 |