| NPI | 1184224610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 2013659) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 50123659) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2022-08-17 |