| NPI | 1164159208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 226841) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 226841) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2024-05-17 |