| NPI | 1356014880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 904549) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MS 904549) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2022-10-19 |