| NPI | 1306472311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5013900) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC HOPK-RD2QQ) |
| Enumeration Date | 2020-03-21 |
| Last Update Date | 2022-09-13 |