| NPI | 1922721927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ND R42973) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R42973) |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-08-02 |