| NPI | 1952958720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: SC 25342) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA SP020741) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2022-03-11 |