| NPI | 1922724772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 11021883) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9432654) |
| 163WS0200X Registered Nurse School (Licence: FL 9432654) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-11-08 |