| NPI | 1508234584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R875456) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2023-08-03 |