| NPI | 1447729207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 22312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 22184) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2023-08-17 |