| NPI | 1487102075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 112054) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 112054) |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-08-01 |