| NPI | 1831524909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 877500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R877500) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2020-09-28 |