| NPI | 1194437806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019665) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95023560) |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2024-05-24 |