| NPI | 1033653308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11017757) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017209) |
| 163W00000X Registered Nurse (Licence: PA RN634685) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2023-08-30 |