| NPI | 1043987852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015134) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC FITZ-17X2Y) |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2023-11-03 |