| NPI | 1073234191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5426-226) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5426-226) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2023-06-26 |