| NPI | 1962239228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: GA RN160853) |
| Additional Taxonomies | 163WP2201X Registered Nurse Ambulatory Care (Licence: GA RN160853) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |