| NPI | 1326597329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20399) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 294777) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2020-01-24 |