| NPI | 1396336392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 62690) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 10002780) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-02-02 |