| NPI | 1720844061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA 216057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA 216057) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-12-30 |