| NPI | 1225693286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 58759) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AR A006059) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2022-09-01 |