| NPI | 1285090803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 24975) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 223725) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-09-11 |