| NPI | 1033843669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 114277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A170360) |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-05-10 |