| NPI | 1457099954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AR 220900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R108314) |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-08-04 |