| NPI | 1154096725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R36418) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND F08210139) |
| Enumeration Date | 2021-08-15 |
| Last Update Date | 2021-11-17 |