| NPI | 1558664854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905261) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MS R878947) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 31572) | |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2025-05-01 |