| NPI | 1518638428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F03210140) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-02-27 |