| NPI | 1134970890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 235287) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA f03240823) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-09-04 |