| NPI | 1356118392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114915) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NE 84318) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |