| NPI | 1730512096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07529) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA TAP003194) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2024-02-28 |