| NPI | 1881158731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11000656) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 821505) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2021-05-25 |