| NPI | 1174185367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A155602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 103403) |
| 363LF0000X Nurse Practitioner, Family (Licence: IA F06192819) | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2022-05-25 |