| NPI | 1952988271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23480) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F10190692) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2022-04-04 |