| NPI | 1891365722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA NP001323) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-3219) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95021502) | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-06-20 |