| NPI | 1558606756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3455-0) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337619) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21431) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2023-04-06 |