| NPI | 1225623788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC E4QBVDGG) |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2023-05-25 |