| NPI | 1295273936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 25326) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009281) |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2021-10-01 |