| NPI | 1609503242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 196345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT F07220070) |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2023-08-11 |