| NPI | 1003298274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 236796) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-06-06 |