| NPI | 1093316820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24775) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 192699) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN192699) | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2022-07-01 |