| NPI | 1437526258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A170893) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015027434) |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2023-01-06 |