| NPI | 1174201214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 231556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN152572) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-09-13 |