| NPI | 1275248536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 230549) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: LA RN126640) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2024-04-22 |