| NPI | 1457004624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015743) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01220988) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-02-22 |