| NPI | 1639803745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 225952) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-11-14 |