| NPI | 1619998259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-180833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R862352) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 6198) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2022-08-19 |