| NPI | 1396974937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R852805) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 000075) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2020-04-27 |