| NPI | 1255825832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-153334) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013285) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-10-18 |