| NPI | 1184077901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5008787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 253358) |
| Enumeration Date | 2016-07-16 |
| Last Update Date | 2021-08-09 |