| NPI | 1790437275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018417) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: NC 272436) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2023-09-07 |