| NPI | 1689230237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC WD02M8) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS F01190970) |
| Enumeration Date | 2019-05-18 |
| Last Update Date | 2021-04-08 |