| NPI | 1417498890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ID 55419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA GAA-NP000040) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2024-06-04 |