| NPI | 1265015218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904988) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R869776) |
| 207Q00000X Family Medicine (Licence: MS 904988) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2022-05-05 |