| NPI | 1477100097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 3256) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012142) |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2023-06-21 |