| NPI | 1932782141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AK 193311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NV 840925) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-09-08 |