| NPI | 1700382660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21698) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 0205244) |
| Enumeration Date | 2018-03-31 |
| Last Update Date | 2021-09-09 |