| NPI | 1316485394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20724) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 20724) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-05-11 |