| NPI | 1285150797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0993305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1617869) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2020-05-08 |