| NPI | 1154868982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 253667) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2021-09-15 |