| NPI | 1043699937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R183185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 785739) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2021-05-11 |