| NPI | 1396123345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ AP3286) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CA 2045) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-10-06 |