| NPI | 1558831925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22396) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 22396) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-03-03 |