| NPI | 1841501236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R26294) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R26294) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-02-08 |