| NPI | 1235591710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19949) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 215038) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-02-02 |