| NPI | 1861024382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23721) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 232143) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-24 |