| NPI | 1265155121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS F04230105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 905974) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2023-10-30 |