| NPI | 1326872870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: PA SP030611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN561807) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-11-06 |