| NPI | 1366866394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL F0114367) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-131617) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2024-01-31 |