| NPI | 1982365938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC NP1046148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DC NP1046148) |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2022-05-13 |