| NPI | 1922594332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 848771) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH 023103) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP11787) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2024-04-24 |