| NPI | 1053047464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 3-000961) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2022-09-06 |