| NPI | 1619457363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NM 53823) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 53823) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2023-03-20 |