| NPI | 1275279820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018331) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26082) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-08-08 |