| NPI | 1255175410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11031436) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95029376) |
| Enumeration Date | 2024-06-22 |
| Last Update Date | 2024-06-22 |