| NPI | 1912445685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901748) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 901748) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP09168) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2021-04-23 |