| NPI | 1063175917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP024779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA xxxx) |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2022-04-25 |