| NPI | 1124634282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26992) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180209) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD R245305) | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2023-04-11 |