| NPI | 1861753204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 17792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.17792 APRN) |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2021-12-28 |