| NPI | 1851564884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 3281042) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2024-01-11 |