| NPI | 1255825477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010629) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 501629) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 1255825477) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-11-03 |