| NPI | 1083177679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011698) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NC 210121) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2022-12-27 |