| NPI | 1265093124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND RH1306) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363LF0000X Nurse Practitioner, Family (Licence: ND F06191893) | |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2023-04-26 |