| NPI | 1588273759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26346) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005086) |
| 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-2990) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-07-22 |