| NPI | 1831741503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN-74495) |
| 363L00000X Nurse Practitioner (Licence: HI 2833) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-09-19 |