| NPI | 1073254439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: IA A174602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 114078) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2023-10-24 |