| NPI | 1144745241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 263564) |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2022-07-21 |