| NPI | 1255848032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 21540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC F12170180) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-11-03 |