| NPI | 1578780961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID NP 669-A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP 669-A) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2023-11-21 |