| NPI | 1245985092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015978) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F01220404) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-04-01 |