| NPI | 1851029409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905605) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 910009) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-10-13 |