| NPI | 1700463379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024186267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9523199) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2023-05-02 |