| NPI | 1083292148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 28160) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NC MCCA-8ROC7) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-05-06 |