| NPI | 1417460742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5010051) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: NC 233584) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-12-05 |