| NPI | 1427676204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 100876) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2023-12-01 |