| NPI | 1124697206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014531) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NC 5014531) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2022-04-26 |