| NPI | 1427609718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012335) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024191278) |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2024-11-05 |