| NPI | 1073023586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11032409) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017037187) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-07-18 |