| NPI | 1679896575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R880871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-111977) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2023-02-14 |