| NPI | 1679296396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26774) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: SC 61024) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-12-14 |