| NPI | 1134613417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 22315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R231217) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2022-12-20 |