| NPI | 1245098755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 78877) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35472) |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-12-27 |