| NPI | 1548983398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 92564) |
| 207Q00000X Family Medicine (Licence: SC 92564) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-10-27 |