| NPI | 1124642715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD AC006744) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1050360) |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2024-12-16 |