| NPI | 1033993878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11028233) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL 11028233) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: FL 11028233) | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-03-11 |