| NPI | 1043811144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5013931) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024180366) |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2024-03-18 |