| NPI | 1649842923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA sp023986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA AA0003142145) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2021-09-16 |