| NPI | 1316434822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26657) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 26657) |
| 163W00000X Registered Nurse (Licence: SC 234088) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-01-15 |