| NPI | 1699178822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27333) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 218528) |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2024-02-12 |