| NPI | 1841555802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 089899-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4552) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2023-10-16 |