| NPI | 1952055741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015768) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015768) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC MITCH-LVCHW) | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2023-04-17 |