| NPI | 1992468235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016336) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024182686) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2022-07-14 |