| NPI | 1982166294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA 227429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN138243) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2022-09-29 |