| NPI | 1215307681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19763) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 215521) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2024-11-18 |