| NPI | 1427598333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP09221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP09221) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2023-06-02 |