| NPI | 1295377877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 904967) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: MS R897482) |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-01-13 |