| NPI | 1568879377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 34857.1326) |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 24857.1326) | |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2022-11-15 |