| NPI | 1780109710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 822796) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10491) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-07-10 |