| NPI | 1316618788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 70265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 42821) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2021-10-25 |