| NPI | 1003427154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24186) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 219728) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2021-01-14 |