| NPI | 1821701541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC SMIT-C5WC1) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5017426) | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2023-02-20 |