| NPI | 1932601150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A153352) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993726) |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2024-04-18 |