| NPI | 1013463470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 217045) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2016002306) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2022-01-27 |