| NPI | 1831559996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F0116179 - cert.) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 202071) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2023-11-16 |