| NPI | 1649550708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS MSR831167) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R831167) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2024-07-13 |