| NPI | 1033695267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 1768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WY 32248.1768) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2024-02-21 |