| NPI | 1336734904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 223745) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 648930) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2022-06-01 |