| NPI | 1306598511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R46486) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ND F01220442) |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-07-14 |