| NPI | 1689206856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28770) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11005742) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 54942) | |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2024-09-19 |