| NPI | 1093258832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24025) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 2273041) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2021-01-26 |