| NPI | 1538469689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS r864120) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2023-07-25 |