| NPI | 1023468188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24968) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 183521) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5008640) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2022-02-07 |