| NPI | 1083256382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23067) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 23067) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2023-08-09 |