| NPI | 1043939895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5016975) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO F02211294) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-11-03 |