| NPI | 1497478762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11022075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL 2021097385) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-09-27 |