| NPI | 1316049620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 021571) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 361376) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2024-05-28 |