| NPI | 1215418975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902872) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS MCLE-K4905P) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2022-05-02 |