| NPI | 1295269058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09948) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN160411) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2024-07-10 |