| NPI | 1669160743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA a176479) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 80264) |
| 363LF0000X Nurse Practitioner, Family (Licence: NE 115483) | |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2024-08-19 |