| NPI | 1629216833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 2593) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: SC F2593) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2021-09-01 |