| NPI | 1740060797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14536-33) |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-12-27 |