| NPI | 1831707504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA 234777) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95014871) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2024-12-27 |