| NPI | 1801534201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 27690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230997) |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2023-08-24 |