| NPI | 1932229259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 238878) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 1966924405) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-06-15 |