| NPI | 1093320459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 002862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10243) |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2024-11-04 |