| NPI | 1295328615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11016909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9471623) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2022-05-11 |