| NPI | 1447962956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R46501) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F1022097) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2023-12-26 |