| NPI | 1316529241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 906902) |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2022-12-07 |