| NPI | 1093316952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 905600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 903684) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-11-06 |