| NPI | 1316432099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010646) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22324) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-08-18 |