| NPI | 1295440162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5017519) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 285820) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-05-22 |