| NPI | 1295966968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 313340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006016) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2023-12-04 |