| NPI | 1821552308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017423) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95010686) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-09-25 |