| NPI | 1194383240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PR 004536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PR 083303) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-12-04 |