| NPI | 1295235620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5019737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9279648) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-09-13 |