| NPI | 1891496428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA 128792) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 128792) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA 128792) | |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |