| NPI | 1548200553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-069535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9312614) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2021-08-04 |