| NPI | 1861276495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018681) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018681) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5018681) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |