| NPI | 1508452202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 28906) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 908286) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-04-11 |