| NPI | 1689298085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8546685-4405) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 8546685-3102) |
| 363L00000X Nurse Practitioner (Licence: UT 8546685-4405) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2021-07-13 |