| NPI | 1053884106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904205) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MS 904684) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2023-08-18 |