| NPI | 1821490962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 29409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 226329) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2024-09-27 |