| NPI | 1194595579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113132) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A177159) |
| Enumeration Date | 2024-01-05 |
| Last Update Date | 2024-01-05 |