| NPI | 1831793579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 24692) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 208063) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2022-08-19 |