| NPI | 1750930558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-129381) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-129381) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2024-01-31 |