| NPI | 1295217529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A115013) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 112735) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2021-06-14 |