| NPI | 1740806207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 213947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN135669) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-01-25 |