| NPI | 1831530229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905701) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2023-01-04 |