| NPI | 1821499310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5472) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2023-03-27 |