| NPI | 1841950268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015577) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 295354) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2023-08-22 |