| NPI | 1194237750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC MORN-AJ2J6T) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-05-07 |