| NPI | 1851024004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A170192) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA 122071) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-02-10 |