| NPI | 1487293890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA 124176) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IA 124176) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2023-07-21 |