| NPI | 1649731621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R827207) |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2024-08-12 |