| NPI | 1578218020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 22620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 100872) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-03-16 |