| NPI | 1750754271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23500) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: SC 102511) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2019-12-04 |