| NPI | 1962577411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R23739) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R23739) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2023-12-27 |