| NPI | 1518433804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9494499) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902693) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2022-05-19 |