| NPI | 1265089098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5015210) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22268A) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-05-26 |