| NPI | 1033603345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 58989) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8196449-4405) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-10-16 |