| NPI | 1689361677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 214751) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 103946) |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-08-28 |