| NPI | 1053847954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018496) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-157155) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-29 |