| NPI | 1184218208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R49717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001998) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-04-07 |