| NPI | 1841985330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018260) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC GARC-ILNX8) |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-09-11 |