| NPI | 1053865576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 207366) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 20330) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2021-11-03 |