| NPI | 1023545019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO9349) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 143644) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-10-06 |