| NPI | 1730612342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20886) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 20886) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2024-11-22 |