| NPI | 1366806069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19960) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 19960) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-07-20 |