| NPI | 1629612288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 906151) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 232176) |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2024-01-31 |