| NPI | 1811493679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA A119092) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA F01180666) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-03 |