| NPI | 1528333580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 16561) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 121889) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2023-09-05 |