| NPI | 1659735637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CA 95004787) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 123438) |
| 363LF0000X Nurse Practitioner Family (Licence: AR A004603) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-04-13 |