| NPI | 1003423278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC F09201669) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 270263) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-10-01 |