| NPI | 1902440365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2087) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI 2087) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2022-04-20 |