| NPI | 1083370886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 224361) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN148803) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2024-12-27 |