| NPI | 1437863818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA 61499741) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV 860097) |
| 363L00000X Nurse Practitioner (Licence: ID 74439) | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2024-06-04 |