| NPI | 1699301408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 11862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 2881) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2023-05-17 |