| NPI | 1285046516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021034999) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA a118611) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-05-03 |