| NPI | 1295219632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 902754) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-123550) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2024-04-17 |