| NPI | 1689289258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 13492-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 246199) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-04-07 |