| NPI | 1023593282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018035602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 218118) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-09-17 |