| NPI | 1710685581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R172159) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MD R172159) |
| 363L00000X Nurse Practitioner (Licence: MD R172159) | |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-05-16 |