| NPI | 1306120902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 212667) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11021896) |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2024-04-05 |