| NPI | 1992355770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24887) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201908676NP) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2024-01-09 |