| NPI | 1710228978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 5006095) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 257372) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5006095) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2024-03-22 |