| NPI | 1730578477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 126555) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: LA AP08109) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2023-11-17 |