| NPI | 1982292926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 886202) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-03-07 |