| NPI | 1366956393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26294) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL ARNP9311552) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2024-09-11 |