| NPI | 1831588201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9398727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-175236) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2023-07-05 |