| NPI | 1215755384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 12.014249) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61611112) |
| Enumeration Date | 2024-09-28 |
| Last Update Date | 2024-12-16 |