| NPI | 1477059939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 15307) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN-0.993458-NP) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-12-03 |