| NPI | 1285237479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID NP66370) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 66370) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2024-04-18 |