| NPI | 1346857992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25826) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11006483) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-06-22 |