| NPI | 1740395268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP00716) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM R34514) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2019-07-12 |