| NPI | 1013473180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC LILE-0PUM9U) |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2021-03-26 |