| NPI | 1053918177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A160898) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 160898) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2023-09-22 |