| NPI | 1891483780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV 857521) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 351173) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-09-07 |