| NPI | 1306469432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 26163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013129) |
| Enumeration Date | 2020-05-23 |
| Last Update Date | 2022-07-21 |