| NPI | 1265002554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25919) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 216506) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-05-19 |