| NPI | 1174139315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A161279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 114707) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-10-26 |