| NPI | 1013427640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A134175) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001752) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: IA a134175) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2021-08-04 |