| NPI | 1376011718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22879) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F08181022) |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2022-10-31 |