| NPI | 1255184149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND 200752) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R47330) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-10-15 |