| NPI | 1619319340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006314) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 000000) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2023-10-26 |