| NPI | 1215439690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09749) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902463) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-06-28 |