| NPI | 1003463969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5012191) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 29425) |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2024-11-12 |