| NPI | 1457099392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 215050) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 1053247) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-01-25 |