| NPI | 1184206872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 77541) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ 260694) |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-11-14 |