| NPI | 1538770631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 166915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 2971) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-04-15 |