| NPI | 1316700248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5020659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 317883) |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-08-19 |