| NPI | 1184367468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 28815A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11018886) |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2024-09-23 |