| NPI | 1164005187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24957) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F04210422) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2024-07-24 |