| NPI | 1326787847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 169119) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2023-01-11 |