| NPI | 1124617105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 234747) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 214570) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2024-10-07 |