| NPI | 1275081366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020011780) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201702920NP-PP) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2024-04-09 |