| NPI | 1114529070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015303) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 2020067191) |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2022-02-24 |