| NPI | 1326514316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016871) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176350) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-08-07 |