| NPI | 1033951363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 217358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95057196) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |