| NPI | 1427431428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R878779) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2023-09-07 |