| NPI | 1871249581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 224453) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA 2022002967) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-09-07 |