| NPI | 1467006999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012103) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NC F06192993) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-04-18 |