| NPI | 1306118500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 214917) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4362) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185095) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-10-10 |