| NPI | 1295467843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD Pending) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SD CP002497) |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2023-12-06 |