| NPI | 1245776343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 901912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 218584) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2023-11-03 |