| NPI | 1306396726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 131540) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992593) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2021-06-22 |