| NPI | 1326587387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25512) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 218052) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2021-12-16 |