| NPI | 1447654132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 19097) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 19097) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2023-02-14 |