| NPI | 1962727081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp028345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE g-0000522) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2023-11-10 |