| NPI | 1144846213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013329) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 266916) |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2022-07-06 |