| NPI | 1831504638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR A004108) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WY 54190) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-01-31 |