| NPI | 1215527700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN255745) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ RNP253491) |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 843707) | |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-07-19 |