| NPI | 1023673993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 169725) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2023-02-01 |