| NPI | 1245800887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 64380) |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2024-10-01 |