| NPI | 1003575846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000028016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 833978) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2024-10-03 |