| NPI | 1285471680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 81073) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NM 87764) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-09-30 |