| NPI | 1174268551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022016284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 31253) |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2022-06-15 |