| NPI | 1194568733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024035463) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 218199) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-09-05 |