| NPI | 1134891344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015149) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: NC 5015149) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-05-31 |