| NPI | 1194310524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015090) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5015090) |
| 363L00000X Nurse Practitioner (Licence: NC F01210557) | |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-02-17 |