| NPI | 1598510877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032177) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0999669) |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-20 |