| NPI | 1023693272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11023961) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-171859) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2023-03-31 |