| NPI | 1508402959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021890) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95013319) |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2022-05-25 |