| NPI | 1235723297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA F10201432) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A161432) |
| 163W00000X Registered Nurse (Licence: IA 120544) | |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2021-02-21 |