| NPI | 1922753169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015765) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01220629) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-06-15 |