| NPI | 1437539426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0995758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1627111) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-08-14 |