| NPI | 1740709211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IN 71016013A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC 5009989) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-12-04 |