| NPI | 1669945937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011415) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 218310) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-10-24 |