| NPI | 1710498035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95008434) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2025-06-04 |