| NPI | 1922628130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC PRIC-9N8BB) |
| Additional Taxonomies | 174H00000X Health Educator |
| 251J00000X Nursing Care | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC PRIC-9N8BB) | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-01-31 |