| NPI | 1245866151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 23628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN244670) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2023-06-30 |