| NPI | 1992428643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA J170678) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H170678) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2023-08-03 |