| NPI | 1396309688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26741) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 233933) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-01-03 |