| NPI | 1891479622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-194634) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11026383) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-12-04 |