| NPI | 1750053039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25443) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 25443) |
| 363L00000X Nurse Practitioner (Licence: SC 25443) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2024-11-06 |