| NPI | 1831738178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5012690) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC FRYA-E02HVF) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2021-12-08 |