| NPI | 1235875261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DC 200001526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11026089) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2024-05-03 |