| NPI | 1346923661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1008086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC 2023034485) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-10-10 |