| NPI | 1194121624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017008862) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014345) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2024-09-17 |