| NPI | 1134873870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26997) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F02220496) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2024-07-10 |