| NPI | 1235727264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5017778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 10564-33) |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2023-11-06 |