| NPI | 1891095501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2010037005) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2024-11-06 |