| NPI | 1306333943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010452) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: NC 5010452) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2020-10-08 |