| NPI | 1487152187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK F11170280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP11479) |
| Enumeration Date | 2018-01-28 |
| Last Update Date | 2022-07-28 |