| NPI | 1518294024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 3691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010794) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2023-07-28 |