| NPI | 1740327337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5002608) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2024-07-17 |