| NPI | 1093385148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 62147) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2023-02-03 |