| NPI | 1922578541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011468) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F09181058) |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2025-02-05 |