| NPI | 1992447452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11033256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9330592) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2024-06-28 |