| NPI | 1467033241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 47882) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WY 34563) |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2023-01-20 |