| NPI | 1063983229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22423) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 212249) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-11-03 |