| NPI | 1225884596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5020313) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC NWEK-01M1Q) |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-10-02 |