| NPI | 1881326718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5016631) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC F06220722) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-09-14 |