| NPI | 1861805111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 62280) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2024-11-14 |