| NPI | 1316402514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ F10180948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL TPAN1940) |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2024-05-13 |