| NPI | 1669148367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002344) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA A165161) |
| Enumeration Date | 2021-08-22 |
| Last Update Date | 2022-05-09 |