| NPI | 1013795822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28061) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018865) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-11-27 |