| NPI | 1184267049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 251786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 23532) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2022-11-09 |